Mullinax, Val G.

Mullinax, Val G. is an sole proprietor health care provider with primary practice located at 1928 N 1120 W # 6 , Provo UT 84604-1045. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mullinax, Val G. can be contacted via phone (801) 374-3010.

Contact Information

Primary practice address
1928 N 1120 W # 6 Provo UT 84604-1045
Phone: (801) 374-3010
Fax: (801) 377-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 268974-0501 Utah

Profile Details

NPI number 1528179256
LBN Legal business name Mullinax, Val G.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Feb 11th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528179256 NPPES
Utah Other 47874 PEHP
Utah Other 480026356 PEHP
Utah Other 107711 PEHP
Utah Other 107008174101 PEHP
Utah Other 27-00074 PEHP
Utah Other QM0000070418 PEHP

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